07: Financing Mental Health Flashcards
What are the mental health issues most common at an early age?
- Mood disorders (e.g., Depression)
- ODD
- Eating disorders
- ADHD
- Substance use
What are the mental health issues most common at a late age?
- Depression
- Substance use
Where are mental health services primarily provided?
A. Outpatient
B. Inpatient
C. Community-based
D. Home health
A
What is the Mental Health Parity Act?
- Enacted to apply mental health services to group health plans
- Disallowed limits on mental health benefits as compared to medical/surgical benefits
What is Medicaid Section 1115 Behavioral Health Waivers?
Section 1115 of the Social Security Act gives the Secretary of Health and Human Services authority to approve experimental, pilot, or demonstration projects that are found by the Secretary to be likely to assist in promoting the objectives of the Medicaid program.
What is the most common service/s provided to individuals in an outpatient basis in mental health?
Psychotherapy
Pharmacological intervention
What is the biggest payer for mental health services in the US health care system?
Medicaid (28% of total expenditure)
What is the Mental Health Parity Addiction Equity Act?
Included substance use disorder to mental health services provided
What did ACA add to the Mental Health Parity Addiction Equity Act?
Applied individual health insurance to cover substance use disorder services
What are the mental health issues most common in adults?
- Anxiety and related disorders (phobias, panic disorder, PTSD)
- Bipolar
- Schizophrenia
- OCD
What is the most common reason people do not receive mental health treatment?
Inability to afford costs
Which of the following is more likely to receive treatment? Select all that apply.
- Adults over 30
- Adults over 60
- Individuals with low SES status
- Individuals with higher income
- Insured individuals
- Men
- Individuals with mild disorders
- adults over 60
- Individuals with higher income
- Insured individuals
What is SAMHSA?
- Substance Use and Mental Health Services Administration
- Goal is to reduce impact of substance abuse and mental illness on Americans
True or false: Under Medicaid, behavioral health is not a specifically defined category.
True
True or false: Alternative benefit plans are not mandatory for newly eligible beneficiaries under Medicaid Expansion.
False
True or false: Medicaid covers methadone maintenance.
True
True or false: Medicaid does not cover group therapy.
False
True or false: Medicaid does not offer case management services.
False
True or false: Many quality health plans limit behavioral health services such as chronic treatment and residential treatment for substance use disorders.
True
Which is more comprehensive for mental health services: Medicaid or QHPs (qualified health plans)?
Medicaid
Which is more specific about their coverage for mental health services: Medicaid or QHPs (qualified health plans)?
Medicaid
What two payment methods are behavioral health services provided under?
- Fee for service
- Capitation
How do Medicare beneficiaries receive mental health support? Are there limitations?
- Medicare A: in-patient treatment - limited to 190 days per lifetime
- Medicare B: Therapy, counseling, testing, evaluations, management
True or false: The Community Mental Health Services Block Grant complements existing services by offering employment, housing, rehabilitative and clinical services.
True
